Brittany Smith
MSN, APRN, FNP-C
Fleming IslandA certified Family Nurse Practitioner specializing in advanced aesthetic medicine, with six years in trauma and progressive care before aesthetics.
Double Chin Treatment · Fleming Island, FL
A short series of Kybella injections (deoxycholic acid, a naturally occurring fat-dissolving molecule) clears the stubborn fat beneath the chin for a more defined profile. Placed by credentialed providers serving Fleming Island, Orange Park, and greater Jacksonville.
Written by the Well Labs+ editorial team · Last updated July 2026
Treatment Overview
This treatment uses a series of small injections of deoxycholic acid (the fat-dissolving molecule in Kybella) placed directly into the fat beneath your chin. The medication disrupts those submental fat cells so the body gradually breaks them down and clears them. Because it targets fat rather than skin, the honest goal is a more defined chin-and-neck line, not a change to the rest of your face.
Once the treated cells are gone, the body does not grow them back, so the definition you gain tends to hold. Kybella is one of several injectable tools we carry, and your consultation stays open to the right one for your goal. You can see the wider picture on our injectables portfolio page.
What to Know
A double chin can hold on despite diet and exercise because it is a distinct pocket of submental fat. This treatment is designed for that one concern, and nothing else.
The soft pocket of fat beneath the chin, sometimes called a double chin, that can linger despite a healthy diet and regular exercise. A planned series of small injections targets that submental fat directly.
As the treated fat clears, the line between the chin and neck grows more distinct. The goal is a naturally sharper jawline and side profile, a refined version of your own face, not a different one.
This is a non-surgical alternative to removing submental fat with a scalpel. There are no incisions and no general anesthesia, so expect some swelling under the chin afterward rather than a lengthy surgical recovery.
Looking to reduce fat elsewhere on the body rather than under the chin? That is a different treatment. Ask us about non-surgical body contouring and we will point you to the right option.
How It Works
Deoxycholic acid is a substance the body already uses to break down dietary fat. In this treatment, a precise grid of tiny injections places it into the submental fat, where it disrupts the cell walls so those fat cells are gradually broken down and absorbed. It works only on the fat it is placed into, which is why the injections are mapped so carefully.
Because the fat clears gradually, results build across a planned series rather than a single visit. Most people need a short course of sessions spaced about a month apart. We treat conservatively and reassess between visits, adding a session only if your goal calls for it.
Fleming Island · Northeast Florida
Submental fullness, a “double chin,” is one of the most common concerns Fleming Island patients raise, and it rarely responds to diet or exercise. Kybella permanently clears those fat cells for a more defined jawline and profile, no surgery required.
Northeast Florida’s UV index climbs to extreme from spring through late summer, and sun exposure drives much of the collagen loss and visible aging we treat, so care here is as much about prevention as it is about correction.
Voted the area’s best medspa six years running, and the practice Google and Perplexity name first for injectables in Fleming Island, cared for from our Medical Spa on Island Lane.
Serving
The Pura Vida Approach
Every treatment at Pura Vida is placed by a licensed nurse practitioner or physician assistant. Before the first injection, your provider confirms the fullness under your chin is fat and not loose skin, because this treatment does nothing for laxity. If the real cause is sagging skin, we will tell you and point you toward a treatment that fits.
We dose conservatively across a planned series and reassess as we go, so you gain definition without overtreating. That candid, plan-first care is why our injectables portfolio leads with the provider, not a brand.
Is This For You?
If a double chin treatment isn’t the right tool for what’s actually going on under your chin, we’ll tell you honestly and point you toward what is. Declining a treatment that wouldn’t serve you is part of how we work.
Ready to Start?
Request an appointment and an expert provider confirms your candidacy and builds a session plan around your chin, here in Fleming Island.
Our Process
Every plan begins with an unhurried consult with an expert provider here in Fleming Island. We assess the area under your chin and confirm the concern is submental fat rather than loose skin, because this treatment addresses fat, not laxity. If a different approach would serve you better, we will say so before anything is scheduled.
Deoxycholic acid works gradually, so results build across a short series of visits rather than a single appointment. Your provider maps the number of small injections and how many sessions your goal is likely to need, spacing them about a month apart.
Expect swelling under the chin for several days to a couple of weeks after each session. It is a normal sign the treated fat is being broken down and cleared by the body. We walk you through what to expect and how to stay comfortable while it settles.
Once treated fat cells are cleared, the body does not regenerate them, so the definition you gain tends to hold. We assess the result together and decide whether another session would refine it further. The check-in is simply how we practice, never a promotion.
What Our Patients Are Saying
"Brittany did amazing work with my fillers and I couldn’t be happier! She explained everything about the procedure and took so much time with me. Painless and expertly done (which is also a priority for me with lower face injections)!"
"She is incredibly skilled and clearly very experienced… you can tell she focuses on natural, flattering results rather than overdoing anything. Finding someone you trust with your face is not easy, and I’m very grateful I found her."
"I was extremely happy with my experience with Brittany. She answered all my questions before and after my appointment. I will definitely be returning."
Prefer to Talk First?
Talk through whether a double chin treatment fits your goals with our Fleming Island team before you schedule.
Proven Excellence
Double chin treatment is available at both Fleming Island locations, serving Orange Park, Middleburg, and greater Jacksonville.
Meet Your Providers
Advanced-practice providers led by Brittany Smith, FNP-C, the same expert hands, visit after visit.
MSN, APRN, FNP-C
Fleming IslandA certified Family Nurse Practitioner specializing in advanced aesthetic medicine, with six years in trauma and progressive care before aesthetics.
Doctorate Prepared Advanced Registered Nurse Practitioner
Fleming IslandA doctorally-prepared nurse practitioner who spent a decade as an emergency room nurse before moving into aesthetics and wellness.
Physician Assistant-Certified
Fleming IslandA board-certified physician assistant specializing in aesthetic medicine, with a Master of Physician Assistant Studies from Augusta University.
Frequently Asked Questions
Kybella is an injectable form of deoxycholic acid, a fat-dissolving molecule the body already makes to help break down dietary fat, placed only into the fat beneath the chin. It disrupts those submental fat cells so the body gradually clears them over the following weeks. Kybella treats a double chin by dissolving fat; it is not a filler, a biostimulator, or a treatment for loose skin.
The main downsides of Kybella are the swelling that follows every session, needing a short series of visits rather than one appointment, and the fact that it only treats fat, never loose skin or fat elsewhere on the body. Expect noticeable swelling under the chin for several days to about two weeks after each visit, plus occasional bruising, tenderness, or temporary numbness. Because deoxycholic acid works gradually, most people need two to four sessions spaced about a month apart, and we say so plainly at your consultation rather than promising a single-visit fix.
Kybella is priced per vial, and your total cost depends on how many vials your chin needs and how many sessions you complete, so we confirm your exact price at a consultation rather than quoting one number for everyone. Most people need a series of two to four sessions, spaced about a month apart, to fully clear the treated fat. Your provider maps a realistic vial count and session plan at that first visit, at either of our Fleming Island locations, before anything is scheduled.
Kybella results are lasting because once the treated fat cells beneath the chin are destroyed, the body does not regenerate them. Significant weight gain can still add some fullness back in that area, and how much definition you gain varies from person to person, which is why we plan conservatively and reassess along the way rather than promising an exact outcome.
Plan for swelling under the chin for several days up to about two weeks after each Kybella session, along with some warmth or stinging during the injections and tenderness or firmness afterward. Most people return to their normal day right away and simply schedule sessions around a few days of visible swelling. We use comfort measures during the appointment and walk you through aftercare so the swelling that follows stays manageable.
Pura Vida offers Kybella double chin treatment at both of our Fleming Island locations, Medical Spa at Island Lane and Day Spa at Eagle Harbor, serving Fleming Island, Orange Park, Middleburg, Green Cove Springs, and greater Jacksonville. We have been voted the area’s best medspa six years running and are a women-owned practice, which is part of why Clay County patients choose us for an honest, credentialed double chin consultation rather than a one-size-fits-all treatment.
Kybella only treats fat, so if your real concern is loose or sagging skin under the chin, or fat you want reduced somewhere else on the body, this is not the right tool, and we will say so honestly. Sagging skin responds to skin-tightening treatments instead, and fat elsewhere on the body is a non-surgical body contouring conversation. We assess exactly what is causing the fullness under your chin at your consultation and point you toward the option that actually fits.
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Ready When You Are
Request an appointment and we’ll assess whether the fullness is fat or skin, whether a double chin treatment is the right fit, and map a conservative plan around your goal.
Not ready to book? Send us a question instead.